Individual provider Active NPI

Ethel John C Sartorio, PHYSICAL THERAPIST

  • Physical Therapist
  • Eatontown, NJ
National Provider Identifier
1659445336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01212300 Issued in NJ
Practice address
285 Parker Road
Eatontown, NJ 07724
Phone
(732) 229-3344
Fax
(732) 728-0870
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01212300 NJ Primary

Addresses

Primary practice location

285 Parker Road
Eatontown, NJ 07724

Mailing address

450 Shrewsbury Plaza
Suite 291
Shrrewsbury, NJ 07702
Phone (732) 229-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000405 NJ Practitioner - Physical Therapist in Private Practice 2860493822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Care Solutions LLCGroup PAC ID 6800172271, 6 clinicians

Practice addresses (Care Compare)

285 Parker Rd
Eatontown, NJ 07724-9621
Phone (732) 229-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01212300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Care Solutions LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

285 Parker Rd
Eatontown, NJ 07724
Phone (732) 229-3344

721 W Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 905-0053

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659445336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SHREWSBURY PLAZA",
            "address_2": "SUITE 291",
            "city": "SHRREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-229-3344",
            "fax_number": "732-728-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PARKER ROAD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-229-3344",
            "fax_number": "732-728-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTORIO",
        "first_name": "ETHEL JOHN",
        "middle_name": "C",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01212300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.